Impact of and reasons for not performing exercise training after an acute coronary syndrome in the setting of an interdisciplinary cardiac rehabilitation program: results from a risk-op- acute coronary syndrome ambispective registry

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• dc.contributor.author Cabrera-Aguilera, Ignacio
• dc.contributor.author Ivern Díaz, Consol
• dc.contributor.author Badosa Marcé, Neus
• dc.contributor.author Marco Navarro, Ester
• dc.contributor.author Salas-Medina, Luís
• dc.contributor.author Mojón Álvarez, Diana
• dc.contributor.author Vicente Elcano, Miren
• dc.contributor.author Llagostera Martín, Marc
• dc.contributor.author Farré López, Núria
• dc.contributor.author Ruiz-Bustillo, Sonia
• dc.date.accessioned 2022-09-02T06:52:47Z
• dc.date.available 2022-09-02T06:52:47Z
• dc.date.issued 2021
• dc.description.abstract Background and Aims: exercise training (ET) is a critical component of cardiac rehabilitation (CR), but it remains underused. The aim of this study was to compare clinical outcomes between patients who completed ET (A-T), those who accepted ET but did not complete it (A-NT), and those who did not accept to undergo it (R-NT), and to analyze reasons for rejecting or not completing ET. Methods and Results: a unicenter ambispective observational registry study of 497 patients with acute coronary syndrome (ACS) was carried out in Barcelona, Spain, from 2016 to 2019. The primary endpoint was a composite of all-cause mortality, hospitalization for ACS, or need for revascularization during follow-up. Multivariable analysis was carried out to identify variables independently associated with the primary outcome. Initially, 70% of patients accepted participating in the ET, but only 50.5% completed it. The A-T group were younger and had fewer comorbidities. Baseline characteristics in A-NT and R-NT groups were very similar. The main reason for not undergoing or completing ET was rejection (reason unknown) or work/schedule incompatibility. The median follow-up period was 31 months. Both the composite primary endpoint and mortality were significantly lower in the A-T group compared to the A-NT and R-NT (primary endpoint: 3.6% vs. 23.2% vs. 20.4%, p < 0.001, respectively; mortality: 0.8% vs. 9.1% vs. 8.2%, p < 0.001; respectively). During multivariable analysis, the only variables that remained statistically significant with the composite endpoint were ET completion, previous ACS, and anemia. Conclusion: Completion of ET after ACS was associated with improved prognosis. Only half of the patients completed the ET program, with the leading reasons for not completing it being refusal (reason unknown) and work/schedule incompatibility. These results highlight the need to focus on the needs of patients in order to guarantee that structural barriers to ET no longer exist.
• dc.format.mimetype application/pdf
• dc.identifier.citation Cabrera-Aguilera I, Ivern C, Badosa N, Marco E, Salas-Medina L, Mojón D, et al. Impact of and reasons for not performing exercise training after an acute coronary syndrome in the setting of an interdisciplinary cardiac rehabilitation program: results from a risk-op- acute coronary syndrome ambispective registry. Front Physiol. 2021 Nov 24; 12: 768199. DOI: 10.3389/fphys.2021.768199
• dc.identifier.doi http://dx.doi.org/10.3389/fphys.2021.768199
• dc.identifier.issn 1664-042X
• dc.identifier.uri http://hdl.handle.net/10230/53981
• dc.language.iso eng
• dc.publisher Frontiers
• dc.rights Copyright © 2021 Cabrera-Aguilera, Ivern, Badosa, Marco, Salas-Medina, Mojón, Vicente, Llagostera, Farré and Ruiz-Bustillo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY) http://creativecommons.org/licenses/by/4.0/. The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
• dc.rights.accessRights info:eu-repo/semantics/openAccess
• dc.rights.uri http://creativecommons.org/licenses/by/4.0/
• dc.subject.keyword Acute coronary syndrome
• dc.subject.keyword Cardiac rehabilitation
• dc.subject.keyword Event-free survival
• dc.subject.keyword Exercise training
• dc.subject.keyword Ischemic heart disease
• dc.subject.keyword Rehabilitation adherence
• dc.title Impact of and reasons for not performing exercise training after an acute coronary syndrome in the setting of an interdisciplinary cardiac rehabilitation program: results from a risk-op- acute coronary syndrome ambispective registry
• dc.type info:eu-repo/semantics/article
• dc.type.version info:eu-repo/semantics/publishedVersion